GMC study shows 1 in 20 GP prescriptions contain errors

A study by the General Medical Council (GMC), the authority which regulates doctors, has found that over the course of a year one in 20 prescription items contained some sort of error or that monitoring of patients was not good enough.  There were 900 million items prescribed last year in England which amounts to 45 million errors.

Study into prescribing errors in general practice finds serious errors in millions of prescriptions.

Around one in every 550 items was judged to contain a serious error.

Researchers concluded that causes included deficiencies in the training of GPs regarding safe prescribing, time pressure, and lack of robust systems for ensuring that patients receive necessary blood tests.

Read the full story on GP prescription errors by The Guardian (external link)

Contact us

If you have experienced an error in a prescription written by a family doctor and want to know your rights, please contact Pearson Hinchliffe’s medical negligence team on 0800 731 1874 or 0161 785 3500 or email john.pollitt@phsolicitors.co.uk.

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NHS awards £6.2m in clinical negligence compensation brain injury case

The High Court has awarded a patient £6.52m in clinical negligence compensation after he was accidentally given an overdose in medication by doctors.

The High Court has awarded a brain-damaged patient more than £6m in clinical negligence compensation.

33-year-old Christopher Lines, a patient at Lakes Mental Health Unit in Colchester, was left severely brain-damaged in June 2008 when he was prescribed the wrong regimen of medication at Severall Hospital’s Maple Ward. The Court decided he is entitled to a total damages settlement worth around £6.2 million. He is now entirely dependent his daily needs on others and cannot use his arms or legs properly and cannot look after his young son.

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NHS sets aside £235m to compensate undetected neonatal hypoglycaemia at birth

Department of Health advice: Newborns at risk of hypoglycaemia should be regularly monitored using a heel prick blood test.

The NHSLA (NHS Litigation Authority) has admitted that it needs to set aside £235.4m in order to pay compensation claims in which NHS maternity staff failed to notice dangerously low blood sugar levels in new born babies.

The condition known as neonatal hypoglycaemia or low blood sugar affects only between one and three babies per 1,000 but consequences can be serious and long term if untreated. It can be caused by various things, and results in the baby not producing enough glucose or producing too much insulin to remain healthy. In this rare yet treatable condition babies can suffer brain damage, other complications and even death. Continue reading

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Pearson Hinchliffe client wins pharmacist negligence case.

Pharmacist admitted negligently giving Gliclazide instead of Frusemide.

A 66 years old patient has been awarded a settlement after his pharmacist admitted dispensing the wrong drugs. Mr H had a previous history of two heart bypass operations, angina, kidney problems, hypertension and a stroke. He was prescribed a number of medications including Frusemide (a diuretic).

In May 2009, drugs dispensed upon a repeat prescription were collected for him. After taking these drugs for a period of some days he felt short of breath and disorientated.

At the end of May he collapsed and was taken to Hospital as an emergency. The medics suspected he had had a stroke. Following a review of his medications by the hospital it was discovered that instead of being supplied with Frusemide by the chemist he had in fact been given Gliclazide. This error was corrected and he made a swift recovery before discharge home. Continue reading

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Cutting legal aid from civil cases like medical negligence will save less than the Government forecasts

I read with great interest a recent study by King’s College London into the actual cost of the Government’s planned legal aid reforms – particularly relating to the savings to the public purse relating to medical negligence claims.

The Government's plans to remove medical negligence claims as well as other areas from the scope of legal aid will not save as much as it thinks.

The Government predicts it will save £270 million through the proposed reforms to legal aid, but the King’s College financial analysis says less than half that will actually be realised. There is also evidence that the cuts will actually result in additional costs for the taxpayer as the burden will shift on to other areas of the public sector including the nhs, local councils and charities.

The report by Dr Graham Cookson called: ‘Unintended Consequences: the cost of the Government’s Legal Aid Reforms’ looks at family law, social welfare and clinical negligence law, which together add up to 85 percent of the total civil legal aid bill.

Dr Cookson said: ‘This research undermines the Government’s economic rationale for changing the scope of legal aid by casting doubt on its claims of realising savings to the public purse.”

For example, the study found that in the arena of clinical negligence cases, cutting £10.5m for legal aid will cause knock-on costs to the NHS of £28.5m. Or, put another way, for every £1 the Ministry of Justice saves removing clinical negligence from the scope of legal aid, the NHS could end up being liable for up to £3.

Dr Cookson, who works for the university’s Department of Management, identified subsequent knock-on costs totalling £139 million per year – leaving only 42 per cent of the savings the Government hopes to make. These unintended costs will largely be borne by other government departments.

He added: ‘Without a trial, it is impossible to say for certain what the impact of the proposals will be, just as it is impossible for the Government to assert that there will be a net saving of £270 million per annum. However, my research suggests that the net savings could be half of those predicted in the Government’s forecast, while removing legal aid for almost 600,000 cases a year.’

Last week Tory and Crossbench peers rebelled against the Government’s legal aid reforms.

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Government’s Legal Aid Bill suffers fresh defeat in Lords

Legal aid reforms suffer further defeats in House of Lords. 

Ken Clarke's plans to cut legal aid suffer fresh setbacks as Law Lords overturn a further 2 proposals

Ken Clarke's plans to cut legal aid suffer fresh setbacks as Law Lords overturn a further 2 proposals.

 

Highlights:

  • Legal Aid, Punishment and Sentencing of Offenders Bill has now suffered six amendments in total;
  • Every speaker in the debate – apart from the minister – opposed government’s plans;
  • A series of cost-cutting plans to save £350m in legal aid expenses rejected;
  • Peers vote overwhelmingly to preserve legal aid for appeals against welfare benefit decisions;
  • Proposal to maintain legal aid in higher-tier benefit appeals was also passed;
  • The Lords also approved an amendment to protect legal aid funding for expert reports in clinical negligence cases.

External link to the story (BBC News)

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Pearson Hinchliffe Case Study: Husband successfully claims compensation for clinical negligence by a hospital radiologist.

Missed diagnosis of superior vena cava (SVC) obstruction.

The facts of the case

Mrs S was 43 years old at the time of her death. She had no significant previous medical history.

During early 2008 she noticed facial swelling and general lethargy with shortness of breath on exertion and dilated veins over the chest wall – symptoms commonly associated with the relatively rare condition, Superior vena cava (SVC) obstruction. She was seen at Royal Blackburn Hospital Accident and Emergency Department from where she was discharged with a plan for an out-patient appointment with a dermatologist. A CT scan was thought not to be indicated.

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Radio 4: two-part documentary ‘Doctor – Tell Me the Truth’

BBC Radio 4 had a very interesting and relevant documentary on Monday night (February 21st, 2012) entitled: Doctor – Tell Me the Truth. In this, the first episode of 2, the programme deals with the issue of negligence and transparency in healthcare.

Review of BBC radio 4 programme, Doctor - Tell Me The Truth in which Professor James Reason explores how patient safety can be improved by doctors admitting to mistakes.

In case you missed it, you can listen to it again via BBC iplayer: Doctor – Tell Me the Truth

Programme Summary

Each year a significantly high number of people are injured or killed because of the medical treatment they receive. James Reason, Professor Emeritus at the University of Manchester, examined a more open and honest approach to dealing with these mistakes adopted in parts of the US, and asked whether such an approach could be adopted by health professionals in this country.

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Pennine Acute Trust results getting better but heart failure results are only 60%

Patients suffering from five of the North-West’s most common conditions are benefiting from improved standards of hospital care in Oldham.

The Advancing Quality Alliance (AQuA) show Pennine Acute Trust figures improve but treatment of heart failure still poor.

The third annual results, published by the Advancing Quality Alliance which is funded by North West healthcare organisations themselves, show improvements in key quality measures designed to drive up standards.

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Birth injury claims factor in Government increasing NHS medical negligence fund by £185m

The NHS Litigation Authority has been given and a further £185m to help cover an increase in claims made against the NHS, especially high-value birth injury claims.

A further £185m is required to cover the increased costs, especially in birth injury claims.

The reason for additional funds being made available by the Government has been put down to the increasing levels of high cost claims brought against the NHS for medical negligence compensation, especially for birth injury claims which require 24-hour care and compensation settlements often reaching £6m to cover those lifetime costs.

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